2020
DOI: 10.3389/fonc.2020.00475
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Delivery and Biosafety of Oncolytic Virotherapy

Abstract: In recent years, oncolytic virotherapy has emerged as a promising anticancer therapy. Oncolytic viruses destroy cancer cells, without damaging normal tissues, through virus self-replication and antitumor immunity responses, showing great potential for cancer treatment. However, the clinical guidelines for administering oncolytic virotherapy remain unclear. Delivery routes for oncolytic virotherapy to patients vary in existing studies, depending on the tumor sites and the objective of studies. Moreover, the bio… Show more

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Cited by 94 publications
(63 citation statements)
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References 135 publications
(199 reference statements)
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“…Moreover, the blood brain barrier is an impediment even to small particles [ 158 ]. However, these invasive procedures are difficult and risky to make repeated doses [ 159 ]. To increase this therapeutic approach, combined synergistic therapies should be analyzed [ 160 ], such as the application of previous radiotherapy, the use of immunomodulators, or chemotherapeutics agents, which enhance cytotoxic effects [ 88 , 161 ].…”
Section: Current Ov Challenges For Malignant Gliomamentioning
confidence: 99%
“…Moreover, the blood brain barrier is an impediment even to small particles [ 158 ]. However, these invasive procedures are difficult and risky to make repeated doses [ 159 ]. To increase this therapeutic approach, combined synergistic therapies should be analyzed [ 160 ], such as the application of previous radiotherapy, the use of immunomodulators, or chemotherapeutics agents, which enhance cytotoxic effects [ 88 , 161 ].…”
Section: Current Ov Challenges For Malignant Gliomamentioning
confidence: 99%
“…The general safety of oncolytic viral therapy has been highlighted by published clinical trials, although some aspects, including off-target effects, unexpected toxic effects as result of the viral genome manipulation, virus mutation, evolution, and recombination, remain a theoretical concern [134]. Other potential limitations relate to the requirement of the viruses to reach every cell in the tumor and to spread between the tumor cells and the occurrence of neutralizing antibodies in the host that could result in a rapid shut down of viral replication.…”
Section: What Can We Learn From Approved Viral Therapies; Bacterial Vmentioning
confidence: 99%
“…OV therapy frequently causes adverse events such as fever, fatigue, nausea, malaise, and increased liver function, which are associated with viral infections. Severe adverse events, including hypotension, tachycardia, cellulitis, dyspnea, and pleural effusion, have also been reported [ 27 ]. However, the lack of severe late-onset and permanent dysfunction observed as a sequela of surgery and chemoradiotherapy (CRT) suggests that OV therapy can be used in combination with radiotherapy and chemotherapy.…”
Section: Introductionmentioning
confidence: 99%